HEATHER NICKERSON MS PA-C
NPI 1669889481
Physician Assistant - Surgical in New London, CT

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
365 MONTAUK AVE, NEW LONDON, CT 06320(508) 560-0011 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Nickerson Ms Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER NICKERSON MS PA-C (NPI 1669889481) is an individual surgical provider in New London, Connecticut, licensed in Connecticut (3135) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669889481
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameHEATHER NICKERSONCredential: MS PA-C
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address39 Corrine DrEast Falmouth, MA 02536-2708 · (508) 560-0011
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 14, 2014
NPI 1669889481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 3135
365 MONTAUK AVE, New London, CT 06320

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Nickerson Ms Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820217854
PECOS Enrollment IDI20140924000038, I20230220001948
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Pharmacist (Pharmacotherapy)
365 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Nickerson's NPI number?

The NPI number for Heather Nickerson is 1669889481. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Heather Nickerson located?

Heather Nickerson practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (508) 560-0011.

What is Heather Nickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Heather Nickerson enrolled in Medicare?

Yes. Heather Nickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Nickerson accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Heather Nickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Nickerson affiliated with any hospitals?

According to CMS data, Heather Nickerson is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Heather Nickerson was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.